Allergy Wheal and Erythema Segmentation Using Attention U-Net.

The skin prick test (SPT) is a key tool for identifying sensitized allergens associated with immunoglobulin E-mediated allergic diseases such as asthma, allergic rhinitis, atopic dermatitis, urticaria, angioedema, and anaphylaxis. However, the SPT is labor-intensive and time-consuming due to the nec...

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Published in:Journal of Imaging Informatics in Medicine Vol. 38; no. 1; pp. 467 - 476
Main Authors: Lee, Yul Hee, Shim, Ji-Su, Kim, Young Jae, Jeon, Ji Soo, Kang, Sung-Yoon, Lee, Sang Pyo, Lee, Sang Min, Kim, Kwang Gi
Format: pictorial research tables/charts Journal Article
Published: Springer Nature Feb2025
Online Access:View this record in EBSCOhost
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      dt: Feb2025
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      pub: Springer Nature
      place: New York, New York
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        atl: Allergy Wheal and Erythema Segmentation Using Attention U-Net.
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        au:
          Lee, Yul Hee
          Shim, Ji-Su
          Kim, Young Jae
          Jeon, Ji Soo
          Kang, Sung-Yoon
          Lee, Sang Pyo
          Lee, Sang Min
          Kim, Kwang Gi
        affil: https://ror.org/03ryywt80 Department of Nursing, Gachon University College of Nursing, 191, Hambangmoe-ro, Yeonsu-gu, 21936, Incheon, Korea
      sug:
        subj:
          Deep Learning
          Image Processing, Computer Assisted
          Erythema Radiography
          Skin Tests
          Hypersensitivity Diagnosis
          Predictive Value of Tests
          Image Interpretation, Computer Assisted
          Human
          Funding Source
          Male
          Female
          Adult
          Middle Age
          Prediction Models
          Sensitivity and Specificity
          Descriptive Statistics
          Erythema Diagnosis
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: The skin prick test (SPT) is a key tool for identifying sensitized allergens associated with immunoglobulin E-mediated allergic diseases such as asthma, allergic rhinitis, atopic dermatitis, urticaria, angioedema, and anaphylaxis. However, the SPT is labor-intensive and time-consuming due to the necessity of measuring the sizes of the erythema and wheals induced by allergens on the skin. In this study, we used an image preprocessing method and a deep learning model to segment wheals and erythema in SPT images captured by a smartphone camera. Subsequently, we assessed the deep learning model's performance by comparing the results with ground-truth data. Using contrast-limited adaptive histogram equalization (CLAHE), an image preprocessing technique designed to enhance image contrast, we augmented the chromatic contrast in 46 SPT images from 33 participants. We established a deep learning model for wheal and erythema segmentation using 144 and 150 training datasets, respectively. The wheal segmentation model achieved an accuracy of 0.9985, a sensitivity of 0.5621, a specificity of 0.9995, and a Dice similarity coefficient of 0.7079, whereas the erythema segmentation model achieved an accuracy of 0.9660, a sensitivity of 0.5787, a specificity of 0.97977, and a Dice similarity coefficient of 0.6636. The use of image preprocessing and deep learning technology in SPT is expected to have a significant positive impact on medical practice by ensuring the accurate segmentation of wheals and erythema, producing consistent evaluation results, and simplifying diagnostic processes.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
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        Journal Article
      ougenre: Article
    language: English
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